# MARENGO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARENGO MEMORIAL HOSPITAL
- **Other names:** VICTOR FAMILY MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679246722
- **Legal business name:** MARENGO MEMORIAL HOSPITAL
- **Authorized official:** BARRY G GOETTSCH (CEO)
- **Authorized official phone:** (319) 642-5543

## Contact information

- **Practice address:** 709 2ND ST, VICTOR, IA 52347-7709
- **Practice address phone:** (319) 647-7511
- **Mailing address:** 300 W MAY ST, MARENGO, IA 52301-1261
- **Mailing address phone:** (319) 642-8160
- **Mailing address fax:** (319) 642-8069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2021
- **Last updated:** 07/28/2021
